| NPI | 1902000284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES GOLODNER Director 805-349-2255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: CA MFC29535) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2020-08-22 |